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蒋学余,任祥,王宗迪,徐元培,王雅岚,杨亭伟,杨子恂,王瑞安,熊继柏,常小荣.国医大师熊继柏面瘫经验方结合电针治疗急性期面瘫风痰阻络证的临床研究[J].湖南中医药大学学报,2021,41(4):546-551[点击复制] |
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| 国医大师熊继柏面瘫经验方结合电针治疗急性期面瘫风痰阻络证的临床研究 |
| 蒋学余,任祥,王宗迪,徐元培,王雅岚,杨亭伟,杨子恂,王瑞安,熊继柏,常小荣 |
| (湖南中医药大学附属岳阳医院, 湖南 岳阳 414000;湖南中医药大学针灸推拿学院, 湖南 长沙 410208;湖南中医药大学, 湖南 长沙 410007) |
| 摘要: |
| 目的 观察国医大师熊继柏面瘫经验方联合电针治疗急性期面瘫风痰阻络证的临床研究。方法 按随机数字表法将144例患者分成观察组（国医大师熊继柏面瘫经验方结合电针治疗）、电针组（仅采用电针治疗）、普通针刺组（采用普通针刺治疗）、经验方组（仅采用国医大师熊继柏面瘫经验方治疗），每组36例。每天治疗1次，10 d为1个疗程，共治疗3个疗程。分别于治疗前后采用House-Brackmann（H-B）面神经功能评价量表、Portmann简易评分量表、面部残疾指数躯体功能（facial disability index physical，FDIP）以及社会生活功能（facial disability index social，FDIS）对4组患者进行评分，并评价各组治疗前后和组间的临床疗效及临床恢复情况。结果 治疗后，观察组总有效率高于电针组、普通针刺组、经验方组（P<0.01）；电针组总有效率高于普通针刺组、经验方组（P<0.05）；普通针刺组总有效率高于经验方组（P<0.05）。治疗后，观察组患者的H-B面神经功能分级评定、Portmann评分、FDIP评分、FDIS评分与电针组、普通针刺组、经验方组比较，差异均有显著统计学意义（P<0.01）；电针组与普通针刺组、经验方组比较，差异均有统计学意义（P<0.05）；普通针刺组与经验方组比较，差异有统计学意义（P<0.05）。观察组患者临床恢复情况、平均起效时间及平均治愈时间与电针组、普通针刺组、经验方组比较，差异均有显著统计学意义（P<0.01）；电针组与普通针刺组、经验方组比较，差异有统计学意义（P<0.05）；普通针刺组与经验方组比较，差异有统计学意义（P<0.05）。4组不良反应率比较，差异无统计学意义（P>0.05）。结论 国医大师熊继柏面瘫经验方结合电针治疗急性期面瘫的临床疗效均优于电针、普通针刺和经验方治疗，能有效提高疗效、缩短恢复时间且具有较好安全性。4种治疗方法中，国医大师面瘫验方结合电针疗效优于单纯电针，单纯电针优于普通针刺，普通针刺优于经验方。 |
| 关键词: 面瘫 风痰阻络证 H-B面神经功能分级 Portmann评分 FDIP评分 熊继柏 面瘫经验方 |
| DOI：10.3969/j.issn.1674-070X.2021.04.010 |
| 投稿时间：2021-01-18 |
| 基金项目:国家科技部中医药现代化专项（2018YFC1707806）；湖南省自然科学基金面上项目（2019JJ40217）；湖南省中医药管理局科研计划项目（2019114）。 |
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| Clinical Study of National Chinese Medical Master Xiong Jibo's Empirical Formula Combined with Electroacupuncture in the Treatment of the Acute-stage Facial Paralysis with Wind Phlegm Obstructing Collaterals |
| JIANG Xueyu,REN Xiang,WANG Zongdi,XU Yuanpei,WANG Yalan,YANG Tingwei,YANG Zixun,WANG Ruian,XIONG Jibo,CHANG Xiaorong |
| (Yueyang Hospital Affiliated to Hunan University of Chinese Medicine, Yueyang, Hunan 414000, China;School of Acupuncture-moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To investigate the efficacy of national Chinese medical master Xiong Jibo's empirical herbal formula combined with electroacupuncture in the treatment of the acute-staege facial paralysis with wind phlegm obstructing collaterals. Methods 144 patients were randomly divided into the observation group (treated with Xiong Jibo's facial paralysis empirical formula combined with electroacupuncture), the electroacupuncture group (treated with electroacupuncture alone), the conventional acupuncture group (treated with the conventional acupuncture alone), and the empirical formula group (treated with Xiong Jibo's facial paralysis empirical formula alone), with 36 patients in each group. All of these patients received treatment once a day, 10 days as a course of treatment, and a total of 3 courses of treatment. The House Brackmann (H-B) facial nerve function evaluation scale, Portmann simple rating scale, facial disability index physical function (FDIP) and facial disability index social (FDIS) scale were used to score the 4 groups of patients, and the clinical efficacy and clinical recovery were evaluated before and after treatment and between groups. Results After treatment, the total effective rate of the observation group was significantly better than that of the electroacupuncture group, the conventional acupuncture group and the empirical formula group (P<0.01). The total effective rate of electroacupuncture group was higher than that of conventional acupuncture group and empirical formula group (P<0.05). The total effective rate of the conventional acupuncture group was higher than that of the empirical formula group (P<0.05). After treatment, the H-B facial nerve function grading, Portmann score, FDIP score and FDIS score of observation group were compared with electroacupuncture group, conventional acupuncture group and empirical formula group, and there were significant differences (P<0.01). Electroacupuncture group compared with the conventional acupuncture group and the empirical formula group, the differences were statistically significant (P<0.05). The difference between the conventional acupuncture group and the empirical formula group was statistically significant (P<0.05). The clinical recovery, average effective time and average cure time of observation group were compared with electroacupuncture group, conventional acupuncture group and empirical formula group, and the differences were statistically significant (P<0.01). Compared with the conventional acupuncture group and the empirical formula group, the differences were statistically significant (P<0.05). The difference between the conventional acupuncture group and the empirical formula group was statistically significant (P<0.05). Moreover, no significant difference in adverse reaction rate was observed among these four treatment group. Conclusion The clinical efficacy of Xiong Jibo's empirical herbal formula for facial paralysis combined with electroacupuncture in the treatment of acute facial paralysis is superb than that of the electroacupuncture, conventional acupuncture and empirical herbal formula alone, and can improve the curative rate shorten the recovery time and has good safety. Among the four methods, the curative effect of the empirical herbal formula for facial paralysis combined with electroacupuncture by Chinese medical master was better than that of electroacupuncture alone, simple electroacupuncture was better than ordinary acupuncture, and ordinary acupuncture was better than the empirical formula. |
| Key words: facial paralysis wind phlegm obstructing collaterals H-B facial nerve function grading Portmann score FDIS score Xiong Jibo empirical herbal formula for facial paralysis |
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